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7455 W Colfax Ave Lakewood CO 80214-5400 | |
(303) 645-4892 | |
(303) 232-3571 |
Full Name | |
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Speciality | Clinic/center |
Location | 7455 W Colfax Ave, Lakewood, Colorado |
Authorized Official Name and Position | David Marks (PRESIDENT) |
Authorized Official Contact | 9723545720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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17950 Preston Rd Suite 200 Dallas TX 75252-5793 Ph: (972) 354-5720 | 7455 W Colfax Ave Lakewood CO 80214-5400 Ph: (303) 645-4892 |
NPI Number | 1699821306 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1699821306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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